EMA Billing Implementation Guide
0.1.0 - ci-build Chile flag

EMA Billing Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Ejemplo Reclamo FONASA - XML Representation

Raw xml | Download


<Claim xmlns="http://hl7.org/fhir">
  <id value="EjemploEmaClaim"/>
  <meta>
    <profile
             value="https://emahealth.io/fhir/billing/StructureDefinition/ema-claim"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Reclamación / Factura EjemploEmaClaim</b></p><a name="EjemploEmaClaim"> </a><a name="hcEjemploEmaClaim"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ema-claim.html">EMA Claim</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Patient/ejemplo-patient">María Fernández</a></p><p><b>created</b>: 2026-03-14</p><p><b>provider</b>: <a href="Organization/ejemplo-organization">EMA Clinic</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage/ejemplo-coverage">FONASA Tramo B</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{https://emahealth.io/fhir/billing/CodeSystem/cs-prestaciones-fonasa 0101001}">Consulta medicina general</span></p><p><b>serviced</b>: 2026-03-14</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>25000</td><td>Chilean peso</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>25000</td><td>Chilean peso</td></tr></table></blockquote></div>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
      <display value="Professional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>
    <reference value="Patient/ejemplo-patient"/>
    <display value="María Fernández"/>
  </patient>
  <created value="2026-03-14"/>
  <provider>
    <reference value="Organization/ejemplo-organization"/>
    <display value="EMA Clinic"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
      <display value="Normal"/>
    </coding>
  </priority>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>
      <reference value="Coverage/ejemplo-coverage"/>
      <display value="FONASA Tramo B"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system
                value="https://emahealth.io/fhir/billing/CodeSystem/cs-prestaciones-fonasa"/>
        <code value="0101001"/>
        <display value="Consulta medicina general"/>
      </coding>
    </productOrService>
    <servicedDate value="2026-03-14"/>
    <unitPrice>
      <value value="25000"/>
      <currency value="CLP"/>
    </unitPrice>
    <net>
      <value value="25000"/>
      <currency value="CLP"/>
    </net>
  </item>
</Claim>